NRP Guidelines during the COVID-19 Pandemic

  • Resuscitation of neonate preferably to be done in a physically separate room adjacent to delivery room. However, If not feasible due to logistic issues then resuscitation trolley should be physically separated from the  delivery area by a distance of at least 2 meters.
  • Minimum possible number of personnel should attend the delivery and wear a full set of PPE including N95 mask.
  • Delayed cord clamping and skin-to-skin contact can be practiced. (WHO)
  • Neonatal resuscitation should follow standard guidelines. However unnecessary suction should be avoided 
  • Endotracheal administration of adrenaline should be avoided.
  • Indications for intubation shall not change because of maternal COVID-19 status.
    • Risk of dispersion of secretion while doing bag & mask ventilation (even in presence of leak) is just 1-2 cm as compared to adult resuscitation where dispersion of secretion can go up to 30-90 cm. So risk of droplets transmission is very less.
  • Bathing is not recommended in view of risk of hypothermia and hospital acquired infections.
  • Mother should perform hand hygiene and wear triple layer surgical mask.
  • Mother can start breast feeding as soon as possible, using mask & hand hygiene.

READ MORE INFO FOR EDUCATING FAMILIES- Drafted by Dr Shacchee Baweja IBCLC, Lactation Consultant, BLK Super Speciality Hospital

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